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APPLICATION CONTROL SHEET <br /> s3 q '_ <br /> ,,f : Tt�bo.compioloc b �aJelupmeitt Sa€v�ce s161f s� e. t <br /> ...< ...:..�. ..:... .. ....., <...,. ..... .>.. .... ..,. <br /> rroApp Only: []Yes Otto Foo: nocolpl Number: Unto: <br /> rile Number. Lo.--`f3- �� roo: �(ap"J nocolpl Number: IO(oq-j Dole: t11�143 <br /> Filo Numbor: Foo: nocolpl Numbor: Volo: <br /> rile Numbon Foo: nocolpt Numbor: Dnto: <br /> Vosctlpllon of rto)oct (.(NAA- (7JsS i M- � ".'eon-tC-A'i,1 j <br /> --Fwo P)"tce-t-S `Ta 4Fzr. Ac-e—,;;g5 Syckr-. -TD <br /> LCcYLG.�n- Y�A�-�ct� <br /> rrojncl Location: (J dJ 7-m QCVLil.t $cQs OF '5T rZ-0-C 1 y � Wt <br /> (F pttve 2(rv� U/L5}r C, Vl�(v�7- <br /> Address: f C. ST, f2T 12 1-713 �( rZT (-7- <br /> I <br /> ZI CA GArN(,): Xf-v3d-v4 , oS <br /> Gemini clan Communily: Gonornl rlon Dosignnilon: IG <br /> 7.oning Map: Properly Zonkrg: AG-`t O Ovotlay Zono(s): <br /> Adjnconl General Plan Zoning <br /> IJorlh: �,I U A G•yo 1 <br /> �U �(o <br /> Semlr: q �r i <br /> reel: IT A G-L(6 <br /> Wont: C, A(A6--40 <br /> loo-Your rlood ❑ Yes 9�1`10 WIIlintusott Act El Yes <br /> Yos )�No ISuporvisodal District: <br /> Alrporl Aten: Specific Platt(s) ❑ Yes No: <br /> IlWory: r,,-f—c( t qJ. 8Ci-2US 4 U(a 3`G 7'f <br /> -' U. <br /> 6:1 <br /> All <br /> ! <br /> Ail Appllcollons <br /> Completed Application Fonns Owncts'Slgnatuto <br /> Copy of Dead or Prailmkmry Two ncpotl• Copies of Plan or Mnp <br /> W. x I V nodUced Platt or Mnp I luntdous Mnlotlolo Disclosure Survey ❑ <br /> Dovolopment impact Mllignilon ran roan ❑ Assessor and i Ilolory Pngos 91(1 <br /> Names List• ❑ Sowar/Wotor'Will Servo'Lollar• ❑ <br /> s Gonoral Plan Mnp• ❑ Zoning Mnp• ❑ <br /> Sons noporl• ❑ Sells Suitability Study' ❑ <br /> Subsldanco Area ❑ Yes o I Expansive Soil Area ❑ Yes No <br /> • Theso nmlctinls may not be toqufred for cmtnln applications. Chock tiro applicalloti type for delnlls. <br /> Tentnlivo Maps <br /> Map Signed by Owner 13/ Tinct Numbor and Name(Major Subs only) <br /> Adjolning Propatty Owners Names on Mnp -141 All Lots Nurnborod <br /> Conlour Lines ❑ Locallon of Wall and Septic System <br /> Excavations <br /> nocintnnlfon Plan and Sel,edulo ❑ rinancinl Guaranies O <br /> Typical Cross-eocllons ❑ Elovallort Calculation Schodule ❑ <br /> Enginow's Stamp ❑ <br />